1. Neutrophil‐to‐lymphocyte ratio in relation to trauma severity as prognosis factors in patients with multiple injuries complicated by multiple organ dysfunction syndrome: A retrospective analysis
- Author
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Yong‐Ming He, Xing Liu, Si‐Yi Zhong, and Qiu‐Hong Fu
- Subjects
injury severity score ,multiple injuries ,multiple organ dysfunction syndrome ,neutrophil‐to‐lymphocyte ratio ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Abstract Objective This study aimed to explore potential risk factors for the occurrence of multiple organ dysfunction syndrome (MODS) in patients with multiple injuries by evaluating neutrophil‐to‐lymphocyte ratio (NLR)‐associated trauma severity. Methods This retrospective case–control study included 95 patients with multiple injuries, who were admitted to our hospital (between January 2018 and December 2020). Clinical data including gender, age, underlying disease, number of injury sites (NIS), injury severity score (ISS), hemoglobin level within 24 h of admission (HL‐24h), neutrophil count (NC), white blood cell count, platelet count (PC), NLR, d‐dimer level, activated partial thromboplastin time (APTT), complicated shock within 24 h of admission (CS‐24h), length of stay, as well as prognostic outcome was systematically analyzed. According to MODS occurrence, patients were divided into a MODS group (n = 27) and a non‐MODS group (n = 68). The risk factors affecting patients with multiple injuries complicated by MODS were identified using univariate and multivariate logistic regression analyses. Candidate risk factors were further analyzed using receiver operating characteristic (ROC) curves. Results Univariate analysis revealed a significant difference between the MODS and non‐MODA groups in terms of NIS, ISS, HL‐24h, PC, APTT, d‐dimer level, CS‐24h, NLR, NC, prognostic outcome, and other indicators (p
- Published
- 2023
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